Poster
# 82
Poster |
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6th Internet World Congress for Biomedical Sciences |
Jorge Burneo de las Casas(1), Andrew Chang(2)
(1)Henry Ford Health System - detroit. United States
(2)Affiliated Comm. Medical Center - Willmar. United States
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[Radiology & Nuclear Medicine] |
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[Neurology] |
A 30 year-old woman, presented with blurred vision for three weeks, associated with difficulty walking and also intermittent diplopia. Her past medical history was pertinent for Diabetes Mellitus, Hypertension and Panic attacks. On exam, she was alert and oriented. Neuro-ophtalmological exam showed florid see-saw nystagmus, preserved visual acuity of 20/20,normal fundoscopic exam, and full visual fields. On motor exam the tone was normal, and no weakness was noted, although patient had a tremor involving both hands and feet. Mild dysmetria was noted on finger-to-nose and heel-to-shin. Her gait was ataxic. Initial CT scan of the head revealed hydrocephalus (fig. 1) and subsequent MRI of the brain with gadolinium showed prominent ventricular cisterns in the absence of meningeal enhancement (fig. 2). A lumbar puncture showed elevated opening pressure with a CSF analysis showing decreased glucose and elevated protein as well as lymphocytic pleocytosis, with negative tests for infections. CT scan of the chest showed symmetrical hilar and mediastinal lymphadenopathy suggestive of sarcoidosis. The bronchial biopsy showed granulomas. The patient was started on steroid therapy. However, with no improvement in the hydrocephalus, a ventriculo-peritoneal shunt was placed(fig.3). Three months post shunt placement, the patient remains asymptomatic.
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[Radiology & Nuclear Medicine] |
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[Neurology] |
